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Surgical Resection of Solitary Fibrous Tumors of the Pleura  

장지원 (제주대학교병원 흉부외과)
김관민 (성균관대학교 삼성서울병원 흉부외과)
심영목 (성균관대학교 삼성서울병원 흉부외과)
한정호 (성균관대학교 삼성서울병원 병리과)
이경수 (성균관대학교 삼성서울병원 영상의학과)
김진국 (성균관대학교 삼성서울병원 흉부외과)
Publication Information
Journal of Chest Surgery / v.37, no.5, 2004 , pp. 432-437 More about this Journal
Abstract
Background : Solitary fibrous tumors of the pleura (SFTP) is one of rare neoplasms that originated from submesothelial mesenchyme. Clinical course or extent of surgical resection is not well known. Material and Method: We retrospectively reviewed all the clinical records of the patients who had undergone surgical resection of benign and malignant SFTP, Result: Twenty two (male female 14 : 8) patients were enrolled and mean age was 50.2(range 25∼83). Number of symptomatic patients at the time of diagnosis was 13 (59%) and the most common symptom was dyspnea. Operative approach was carried out through thoracotomy (n=14) or video-assisted thoracic surgery (n=8). Mass excision was performed in 12 cases and en bloc resection including adjacent structure in 10 cases. In all cases complete resection was performed. There was no operative mortality. Malignant SFTP were 11 cases and benign SFTP 11 cases. Local recurrences (n=2) or distant metastasis (n=6) occurred only in malignant SFTP. Conclusion: Number of symptomatic patients, on bloc resection, and recurrence was more in malignant SFTP. Although complete surgical resection is known as treatment of choice for SFTP, further study should be performed about systemic therapeutic modalities pre- or postoperatively to control recurrence and metastasis.
Keywords
Pleural neoplasms; Fibrous neoplasm; Pleura;
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